| NPI | 1427540236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11868600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021245) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2026-04-13 |