| NPI | 1801865019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301405862) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301405862) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01061692A) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-01-23 |