| NPI | 1417917907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08048100) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 224727) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD438811) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-11-24 |