| NPI | 1811987514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01038029A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 40119) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01038029A) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2017-05-17 |