| NPI | 1336103845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08218500) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD459750) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA082185) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD459750) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-07-13 |