| NPI | 1922366244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10699900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 9329) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-10-28 |