| NPI | 1770627200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08823700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437225) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD437225) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08823700) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-08-06 |