| NPI | 1578190468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: NJ 25MB13085900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 321255) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-07-31 |