| NPI | 1114142403 |
|---|---|
| Former Name | SIVA PRASAD S. |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX P4112) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX P4112) |
| 207R00000X Internal Medicine (Licence: TX P4112) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-04-20 |