| NPI | 1275758617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02004093A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013963) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02004093A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 02004093A) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2021-02-22 |