| NPI | 1326455841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-15319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN20111) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-06-08 |