| NPI | 1841253937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD038807E) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD038807E) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD038807E) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: PA MD038807E) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD038807E) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD038807E) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD038807E) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-05-01 |