| NPI | 1972574275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01054842A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 24143) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 71047) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35078350) | |
| 207P00000X Emergency Medicine (Licence: OH 35-07-8350-A) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-08-19 |