| NPI | 1861650772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS014629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08767400) |
| 207R00000X Internal Medicine (Licence: PA OS014629) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA FW1233953) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-09-26 |