| NPI | 1871574202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD040211L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD040211L) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0059982) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2021-04-13 |