| NPI | 1770803330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD449736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449736) |
| 207R00000X Internal Medicine (Licence: PA MT197358) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2018-12-20 |