Loukas S Boutis, MD Valid NPI

Individual provider · Cardiovascular Disease Physician · Manhasset, NY

NPI

1255535241

Type

Individual (Type 1)

Primary specialty

Cardiovascular Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RC0000X

License number

225327 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-06-13

Last updated

2007-07-08