NPI | 1063738011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101266423) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 165683) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 165683) | |
207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: VA 0101266423) | |
208M00000X Hospitalist (Licence: NC 165683) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2020-10-30 |