| NPI | 1093796310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101250116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07941400) |
| 208D00000X General Practice (Licence: NJ 25MA07941400) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101250116) | |
| 207R00000X Internal Medicine (Licence: VA 0101250116) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-04-10 |