| NPI | 1598738858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA07749600) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA07749600) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-08-03 |