| NPI | 1619977188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 20386) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 12592) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 20386) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 12592) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2024-05-23 |