NPI | 1003843905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07586700) |
Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA07586700) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA07586700) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2024-04-24 |