| NPI | 1083870588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10692000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10692000) |
| 207R00000X Internal Medicine (Licence: KY 45759) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NJ 25MA10692000) | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 45759) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45759) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA10692000) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2025-01-27 |