| NPI | 1225022866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01052115A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01052115A) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 34429) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 34429) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2015-04-10 |