| NPI | 1407022460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09667900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190535) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD440632) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2021-07-23 |