| NPI | 1982683025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA05743000) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NJ 25MA05743000) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA05743000) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2014-02-03 |