| NPI | 1679836761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA11103200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD453232) |
| 207R00000X Internal Medicine (Licence: NY 287819) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-08-23 |