| NPI | 1457341281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01028535) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01028535A) |
| 2086S0129X Surgery, Vascular Surgery (Licence: IN 01028535A) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-02-20 |