| NPI | 1831352145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 321015) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09331500) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30577) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R2694) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-09-15 |