| NPI | 1942208517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 20547) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01028329A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01028329A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 20547) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-05-01 |