| NPI | 1811105810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01073197A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011812) |
| 207R00000X Internal Medicine (Licence: IN 01073197) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-03-27 |