| NPI | 1124099411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03081400) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 121407) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD035037Y) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-08 |