| NPI | 1659786606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10048400) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD495219) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10048400) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2026-05-14 |