NPI | 1710979216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03132) |
207R00000X Internal Medicine (Licence: PA MD012692E) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD012692E) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2016-04-22 |