| NPI | 1225340557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 65853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 794L) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL MD.35774) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-05-07 |