| NPI | 1346237765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD035918L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD035918L) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2014-05-19 |