| NPI | 1053540203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX W4251) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01094768A) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01094768A) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2026-06-16 |