| NPI | 1043594914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 56121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072720A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 21206) | |
| 208M00000X Hospitalist (Licence: IN 01072720A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.058171) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2024-01-09 |