| NPI | 1083892285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 32895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11012914A) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 32895) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2025-04-22 |