| NPI | 1316246622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11801500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270512) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2024-05-23 |