| NPI | 1316913338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD418303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 185898) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD418303) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 185898) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-06-06 |