| NPI | 1922274141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA08361400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08361400) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2010-05-06 |