| NPI | 1588618250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-14293) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A54428) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD159742) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-08-07 |