| NPI | 1245442490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 257360) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08580400) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08580400) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 257360) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-08-27 |