| NPI | 1144259425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04933400) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA04933400) |
| 207R00000X Internal Medicine (Licence: NY 155240) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 155240) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-01-24 |