| NPI | 1073561254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01060164A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01060164A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 39505) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 39505) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-05-17 |