| NPI | 1851556286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12707400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A113617) |
| 207R00000X Internal Medicine (Licence: MA 243061) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-06-18 |