| NPI | 1073783577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01063037A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01063037A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 003164) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 003164) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-07-22 |