| NPI | 1275512022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01050343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01050343A) |
| 207R00000X Internal Medicine (Licence: KY 32604) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 32604) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-06-16 |