| NPI | 1821084237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 150444) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 45238) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 45238) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 45238) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 150444) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-01-03 |