| NPI | 1346551769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MB08927200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012641) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-09-18 |