| NPI | 1164606034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08738600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431619) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08738600) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-09-24 |