| NPI | 1992702096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01045491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01045491A) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-11-29 |