| NPI | 1790017614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01094590A) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 51556) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2024-09-19 |