| NPI | 1700267713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-14654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ new jersey permit) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-45630) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-06-16 |