| NPI | 1215347174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59451) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 59451) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10173900) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2022-06-16 |