| NPI | 1194086041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12053900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251885) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD466806) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-08-28 |