| NPI | 1508851510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD24507) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 24507) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 15928) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E0811) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2014-08-26 |