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 |