| NPI | 1609196377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MB09286800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013650) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS15514) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB09286800) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MB09286800) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2024-05-20 |