| NPI | 1477081396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB10663100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020615) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-09-11 |