| NPI | 1942282215 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01074824A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01074824A) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036093882) | |
| Enumeration Date | 2005-11-14 | 
| Last Update Date | 2024-01-12 |