| NPI | 1932188729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD051865L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA05839900) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 18696) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-07-21 |