| NPI | 1255420899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08138200) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD417783) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME151632) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-10-15 |