| NPI | 1851363360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA04879200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04879200) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA04879200) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-05-02 |