| NPI | 1932201159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 238092) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 238092) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 8104) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-01-30 |