| NPI | 1164488037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01033446A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01033446A) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-05-23 |