| NPI | 1669615639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000051541) |
| Additional Taxonomies | 207RH0005X Internal Medicine Hypertension Specialist (Licence: TN 51541) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2022-03-29 |