| NPI | 1336598713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MB10836600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10836600) |
| 207R00000X Internal Medicine (Licence: PA OS019969) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-10-10 |