| NPI | 1235306507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01073890A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094154) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-04-24 |