| NPI | 1467413955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD034510E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD034510E) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2020-09-07 |