| NPI | 1497722060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA04412300) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD024817E) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-05-24 |