| NPI | 1053356220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9956) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD424649) |
| 207R00000X Internal Medicine (Licence: PA MD424649) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD424649) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-01-26 |