| NPI | 1831129659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MB03946000) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MB039460) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-04-25 |