| NPI | 1619293396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11196400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273152) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 273152) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-10-27 |