| NPI | 1023210515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-13170) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 53884) |
| 207R00000X Internal Medicine (Licence: CO 2324) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-05-20 |