| NPI | 1518923630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 84791) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01086994A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU M-2090) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU MTL-2017-087) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-08-20 |