NPI | 1548341142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA03298700) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD04096E) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA032987) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2019-11-19 |