| NPI | 1295750578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08624500) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD449336) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD449336) | |
| 174400000X Specialist (Licence: VA 0101232797) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-11-30 |