| NPI | 1902852957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA05825500) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ MA58255) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-07-24 |