| NPI | 1376960591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25ma09629900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09629900) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2017-12-20 |