| NPI | 1033395330 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01072706A) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01072706A) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 17203) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 17203) | |
| Enumeration Date | 2008-01-16 | 
| Last Update Date | 2024-05-13 |