| NPI | 1548472905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MB08523800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016897) |
| 207R00000X Internal Medicine (Licence: NJ 25MB0825B00) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MB0852800) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2021-04-26 |