| NPI | 1275536302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 30303) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01070934A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 30303) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01070934A) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-05-19 |