| NPI | 1659331221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA07472300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07472300) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA07472300) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-01-25 |