| NPI | 1255574018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01074594A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-39838) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-39838) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-11-30 |