| NPI | 1598022626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD455258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455258) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA MD-47427) | |
| 207R00000X Internal Medicine (Licence: IA MD-47427) | |
| 207R00000X Internal Medicine (Licence: CT 054773) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-07-26 |