| NPI | 1144532474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD451657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254262) |
| 207R00000X Internal Medicine (Licence: MI 4301097181) | |
| 207R00000X Internal Medicine (Licence: PA MD451657) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-10-16 |