| NPI | 1023296936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB08886200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246961-1) |
| 207R00000X Internal Medicine (Licence: NJ 25MB08886200) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2016-01-28 |