| NPI | 1013973916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA05999700) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA05999700) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NJ 25MA05999700) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-01-11 |