| NPI | 1972860732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01088191A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 72922) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-08-04 |