| NPI | 1962866004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 26912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 1962866004) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-12-04 |