| NPI | 1306378674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085784A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN24428) |
| 207R00000X Internal Medicine (Licence: FL ME139837) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01085784A) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-08-03 |