| NPI | 1922003037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 20105) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 14740) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 110151) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2024-02-07 |