| NPI | 1447818679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MB11519200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82196) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2025-09-02 |