| NPI | 1104909712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25ma07069400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma07069400) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA70694) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25ma07069400) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-10-07 |