| NPI | 1831434257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA09283500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09283500) |
| 208M00000X Hospitalist (Licence: NJ 25MA09283500) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2021-09-20 |