| NPI | 1780628628 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062244A)  | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01062244A)  | 
| Enumeration Date | 2006-06-15 | 
| Last Update Date | 2023-07-13 |