| NPI | 1467408864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD430004) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0044155) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 29525) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-09-15 |