| NPI | 1962866756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310479) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 310479) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 310479) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-08-20 |