| NPI | 1225370158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD457560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457560) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD457560) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PA MD457560) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2021-04-19 |