| NPI | 1811131311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WY 13381A) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME133430) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 259398) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-09-27 |