| NPI | 1982135703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 02007291A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 04760) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-07-28 |