| NPI | 1538471842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 22329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2285) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 22329) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2023-11-15 |