| NPI | 1962443127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 281318) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 4051R) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-03-14 |