| NPI | 1740636729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 30983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 59941) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-06-13 |