| NPI | 1013398353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01080380A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11018349A) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-08-17 |