| 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 |