| NPI | 1871597575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD073352-L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07742300) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD073352-L) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA07742300) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-04-11 |