| NPI | 1184828873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD15483R) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08236300) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.15483R) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-03-05 |