| NPI | 1033358734 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD441904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191382) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2013-09-10 |