| NPI | 1669686978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD424061) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md424061) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10128800) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10128800) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-04-12 |