| NPI | 1245207018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062296A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME93908) |
| 207R00000X Internal Medicine (Licence: IN 01062296A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME93908) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-06-11 |