| NPI | 1003270711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD480708) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D86737) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-02-06 |