| NPI | 1609093590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08720200) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35089774) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 40892) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35089774) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-09-20 |