NPI | 1265963797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02007141A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02007141A) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101025483) | |
Enumeration Date | 2017-03-26 |
Last Update Date | 2024-07-30 |