| NPI | 1346408689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08921600) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 224499) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD437226) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-10-23 |