| NPI | 1033123633 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01089041A)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39023)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 39023)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 39023)  | |
| Enumeration Date | 2006-07-28 | 
| Last Update Date | 2022-12-05 |