| NPI | 1376999367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10592000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10592000) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-04-09 |