| 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 |