| NPI | 1871819599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 293799-01) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 74339) |
| 207R00000X Internal Medicine (Licence: RI MD14346) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2025-11-25 |