NPI | 1144669268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA10511800) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10511800) |
207R00000X Internal Medicine (Licence: PA MT-205118) | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2023-04-14 |