| NPI | 1679567655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 32463) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 32463) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01048460A) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2024-06-21 |