| NPI | 1780649608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA38759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA38759) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ MA38759) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA03875900) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-10-27 |