| NPI | 1770817124 |
|---|---|
| Former Name | JOSEMON CHACKO VALAYAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 45063) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 45063) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2024-02-19 |