| NPI | 1992712285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 5426466-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238083) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-01-13 |