| NPI | 1497018733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD459558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261143) |
| 207R00000X Internal Medicine (Licence: MA 251538) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-05-08 |