| NPI | 1801050679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11161300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 279232) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-09-27 |