| NPI | 1285604207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07163200)  | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA07163200)  | 
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA07163200)  | |
| Enumeration Date | 2006-01-23 | 
| Last Update Date | 2007-12-07 |