| NPI | 1134366958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09469700) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD451250) |
| 207R00000X Internal Medicine (Licence: NY 253312-1) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2014-09-08 |