| NPI | 1457629586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME136850) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09001900) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 64538-20) | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2025-09-18 |