| NPI | 1154580694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11385100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 1.057174) |
| 207R00000X Internal Medicine (Licence: NJ 25MA11385100) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 1.057174) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11385100) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 1.057174) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-04-05 |