| NPI | 1457335309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA06132800) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06132800) |
| 207U00000X Nuclear Medicine (Licence: NJ 25MA06132800) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-05-02 |