| NPI | 1255621447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA10784400) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA10784400) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2024-09-20 |