| NPI | 1043215155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME94707) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA02937100) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME94707) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2024-02-06 |