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 |