| NPI | 1093817512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08401200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 219884) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08401200) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2012-11-27 |