| NPI | 1558300210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01087451A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301073342) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35092774) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301073342) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01087451A) | |
| 207R00000X Internal Medicine (Licence: IN 01087451A) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-10-11 |