| NPI | 1467510909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 230667) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08300400) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08300400) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 230667) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 230667) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08300400) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-01-25 |