| NPI | 1306865571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 233104-1) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08262000) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08262000) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-04-18 |