| NPI | 1023679396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01097318A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82952) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-07-31 |