| NPI | 1316368236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: ND 14877) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA09790900) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: ND 14877) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ND 14877) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-07-01 |