NPI | 1659620532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-36922) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01071843A) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2022-06-23 |