| NPI | 1013172329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036125720) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036125720) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10215700) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10215700) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: IL 036125720) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA10215700) | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: NJ 25MA10215700) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-04-09 |