| NPI | 1285828236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 174400000X Specialist (Licence: NY 249176) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199515) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2015-06-12 |