| NPI | 1184146284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 33209) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 71645) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-07-03 |