| NPI | 1083842249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09284500)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13984)  | 
| 207R00000X Internal Medicine (Licence: NJ 25ma09284500)  | |
| Enumeration Date | 2009-06-26 | 
| Last Update Date | 2018-06-20 |