| NPI | 1639140171 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01023443A) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01023443A) | 
| Enumeration Date | 2006-02-01 | 
| Last Update Date | 2016-09-27 |