| NPI | 1083059158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10865300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10865300) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-07-21 |