| NPI | 1780642975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD068305L) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA07133500) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-04-25 |