| NPI | 1821483819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 91187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076938A) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-09-08 |