| NPI | 1922274190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09220600) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 265026) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 265026) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA09220600) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-06-17 |