| NPI | 1134197346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA058027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA058027) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-07-29 |