| NPI | 1316100886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01088045A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08254400) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD441796) | |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2022-08-22 |