| NPI | 1932318847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08291700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08291700) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08291700) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD443330) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-11-03 |