| NPI | 1134480205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10523700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252818) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-06-11 |