| NPI | 1174939003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301506086) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01077342A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018018A) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-04-08 |