| NPI | 1720345929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01083420A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01561) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2015-01561) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-08-19 |