| NPI | 1104187368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: CA A168300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09669300) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A168300) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-08-26 |