| NPI | 1518967165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05913700) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA05913700) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ MA59137) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-09-22 |