| NPI | 1770565251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA2361500) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ 25MA2361500) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-12-12 |