| NPI | 1730176611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA03772500) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ ma37725) |
| 207R00000X Internal Medicine (Licence: NJ 25MA03772500) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03772500) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-04-11 |