| NPI | 1336390392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 64362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24559) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 24559) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 65082) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 65082) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 64362) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 24559) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2022-07-21 |