| NPI | 1154852614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 81218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01092576A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01092576A) | |
| 208M00000X Hospitalist (Licence: IL 036.152388) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036152388) | |
| 207R00000X Internal Medicine (Licence: IL 036.152388) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2026-08-07 |