| NPI | 1376545053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 62107) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01029427A) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01029427A) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 62107) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-07-14 |