| NPI | 1811079130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 91304) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA74586) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA74586) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-04-05 |