| NPI | 1124048913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01074113A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 27466) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 27466) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-01-14 |