| NPI | 1427051556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 48390) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 048390) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD423894) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-08-08 |