NPI | 1568405702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA31401) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA31401) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-07-08 |