| NPI | 1104269190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11819900) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS019779) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11819900) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-04-30 |