| NPI | 1609861509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02001043A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02001043A) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 02001043A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 02001043A) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IN 02001043A) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2016-02-09 |