| NPI | 1164409538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08227500) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD11951) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-03-10 |