| NPI | 1114022316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062942A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062942A) |
| 207R00000X Internal Medicine (Licence: IL 036-115774) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-03-06 |