| NPI | 1912103052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD441500) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 247760) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 33966) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 247760) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-05-29 |