| NPI | 1487603239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 193400000X Single Specialty (Licence: IN 01075981A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036066290) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036066290) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-11-13 |