| NPI | 1780842807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD448275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448275) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DC MD038877) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-08-18 |