| NPI | 1104900448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD H0073600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB07985800) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-04-10 |