| NPI | 1295042539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01087045A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 55091) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 261672) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-130806) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-01-30 |