| NPI | 1538342845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD430618) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD430618) |
| 207R00000X Internal Medicine (Licence: PA MD430618) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2015-11-24 |