NPI | 1033391800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 248657) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q6238) |
207R00000X Internal Medicine (Licence: CT 046816) | |
208M00000X Hospitalist (Licence: MA 248657) | |
Enumeration Date | 2007-12-03 |
Last Update Date | 2021-12-22 |