| NPI | 1487195707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 58160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502533) |
| 207R00000X Internal Medicine (Licence: GA 84832) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01089920A) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-09-06 |