| NPI | 1336239664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD0421478) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 27614) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD421478) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-02-28 |