| NPI | 1275500852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA05464000) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA54640) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD034418E) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-05-24 |