| NPI | 1871568923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD040312L) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 202340) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD040312L) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 202340) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-04-07 |