| NPI | 1770797466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01070618A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.122482) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-01-02 |