| NPI | 1235469263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 48998) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01082408A) |
| 207R00000X Internal Medicine (Licence: CT CT048998) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2024-09-06 |