| NPI | 1982995692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 292502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292502) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-10-04 |