| NPI | 1396745949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA04650100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA46501) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2009-04-30 |