| NPI | 1215990858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 58905) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ 58905) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-09-11 |