| NPI | 1275951097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 28775) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 28775) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00672) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2021-06-01 |