| NPI | 1699006445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09609200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09609200) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA09609200) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2023-03-13 |