| NPI | 1104874379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01042748A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 31115) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-093986) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-05-17 |