| 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 |