NPI | 1467465831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA06740000) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ MA06740000) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2009-05-18 |