| NPI | 1164752499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 62654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41518) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 62654) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-41518) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-41518) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2021-03-23 |