| NPI | 1174840821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD449391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449391) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2022-08-02 |