| NPI | 1992805493 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 02003983A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003983A) | 
| 207R00000X Internal Medicine (Licence: OH 34-008723) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02003983A) | |
| Enumeration Date | 2006-09-24 | 
| Last Update Date | 2021-05-13 |