| NPI | 1720088297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 13015) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 07957) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 07957) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 13015) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2019-07-17 |