| NPI | 1861751034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25ma11208100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.138533) |
| 207R00000X Internal Medicine (Licence: LA 303003) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2024-08-22 |