| NPI | 1790723013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 10516) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: TN 10516) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-05-12 |