| NPI | 1841604105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10664200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207314) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-08-12 |