| NPI | 1104322676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 02006313A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006313A) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2021-08-04 |