| NPI | 1891353751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12578800) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA12578800) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-11-06 |