| NPI | 1619962578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA56209) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA05620900) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2017-03-13 |