| NPI | 1992228977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 309857) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 76134) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 76134) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2026-06-15 |