NPI | 1285684845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10162100) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR e7653) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2023-08-02 |