| NPI | 1568505287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA1105530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA1105530) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 262174) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-04-09 |