| NPI | 1952939092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11837100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 65140) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11837100) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-07-09 |