| NPI | 1013969377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05153500) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 218557) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME63052) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-02-03 |