| NPI | 1699702597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD034664E) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05637200) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD034664E) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD034664E) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-02-26 |