| NPI | 1700042389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01075745B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.055077) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2016-12-22 |