| NPI | 1366541302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 014436) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD220249) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-08-06 |