NPI | 1598938391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08379100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08379100) |
Enumeration Date | 2008-04-12 |
Last Update Date | 2019-01-17 |