| NPI | 1750481800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD419469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD419469) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA Md419469) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-11-03 |