| NPI | 1972547974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 229131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 229131-1) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-02-18 |