| NPI | 1184820557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08748200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190919) |
| 207R00000X Internal Medicine (Licence: PA MD438763) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08748200) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-11-29 |