| NPI | 1962650440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 101675) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01084659A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 071881) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2024-05-17 |