| NPI | 1649259862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD426712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426712) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-05-05 |