| NPI | 1053343376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD034366E) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD034366e) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05494100) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-05-29 |