| NPI | 1386697761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01044272A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01044272A) |
| 207R00000X Internal Medicine (Licence: IN 01044272A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-11-12 |