| NPI | 1790010874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: NJ 25MA10904600) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: PA MD4569536) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD456536) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-10-09 |