| NPI | 1811247653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 287036) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 73453) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101281905) | |
| 207R00000X Internal Medicine (Licence: VA 0101281905) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101281905) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2026-08-25 |