| NPI | 1679779979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2011006602) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2011006602) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ training license) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2017-11-28 |