| NPI | 1205093846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA0954250) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA09542500) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 254366) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-10-20 |