| NPI | 1932271228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 198520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 198520) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 198520) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-03-22 |