| NPI | 1164749701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01073737A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.138633) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101268367) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-04-13 |