| NPI | 1548524812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U5842) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01081658A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016624A) | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2024-09-12 |