| NPI | 1750795175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD463136) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD463136) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11457500) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-01-31 |