| NPI | 1730674979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 28398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3630) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036.169031) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-05-13 |