| NPI | 1467496687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03627300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03627300) |
| 207R00000X Internal Medicine (Licence: PA MD023597E) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD023597E) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA03627300) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD023597E) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-07-17 |