| NPI | 1821069659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA md047445l) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA05176100) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-04-13 |