| NPI | 1467748202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10067200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270058) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-08-16 |