| NPI | 1568782811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 59843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072846A) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-05-07 |