NPI | 1326208620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11308700) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 053179) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 053179) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2022-06-23 |