| NPI | 1992770606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 153688) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 153688) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-03-11 |