| NPI | 1649867979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA11779200) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA PTL3599) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2024-03-28 |