| NPI | 1447665658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11171700) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 302238) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102207276) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 302238) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-07-13 |