| NPI | 1124291273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01073078A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051166) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-02-16 |