| NPI | 1215901608 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA03980100)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA39801)  | 
| Enumeration Date | 2006-02-14 | 
| Last Update Date | 2019-01-23 |