| NPI | 1669419990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME125405) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062082A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 34948) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 34948) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01062082A) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-03-24 |