| NPI | 1902842446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07313600) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-06-10 |