| NPI | 1841584380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2023031810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55326) |
| 207R00000X Internal Medicine (Licence: KS 04-37402) | |
| 207R00000X Internal Medicine (Licence: IN 01082486A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01082486A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2023031810) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-08-05 |