| NPI | 1710196308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01075406A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35094374) |
| 207R00000X Internal Medicine (Licence: IN 01075406A) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-05-18 |