| NPI | 1861414096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 235294) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 001914) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-12-05 |