| NPI | 1013947167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD030941E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD030941E) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10752200) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-15 |