| NPI | 1306292966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB10494100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016888) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-10-03 |