| 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: IL 036-115774) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-01-28 |