| NPI | 1972652840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA09071100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09071100) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA09071100) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-10-07 |