| NPI | 1750624292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 54553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 4405) |
| 207R00000X Internal Medicine (Licence: TN 54553) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-03-23 |