| NPI | 1770543878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01074408A) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME91064) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-08-16 |