| NPI | 1841757606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 305094) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 305094) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY P100409) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-04-24 |