| NPI | 1902867286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01028670A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 23373) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01028670A) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-03-16 |