NPI | 1205892809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA49759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04975900) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA04975900) | |
Enumeration Date | 2006-04-22 |
Last Update Date | 2024-04-09 |