| NPI | 1023073681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME137788) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01035290) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01035290A) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-03-27 |