| NPI | 1639288293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 73627) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 73627) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 15148) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 15148) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-05-27 |