| NPI | 1548523236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME166828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202525) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MT202525) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD455978) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-09-25 |