| NPI | 1609076777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01073182A) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD429541) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD429541) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01073182A) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-03-17 |