| NPI | 1962428169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ MA043941) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ MA043941) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ MA043941) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-09-21 |