| NPI | 1679575856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD034283-E) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA054780) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ MA054780) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD034283-E) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-04-15 |