| NPI | 1063859312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 304144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264765) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 304144) | |
| 208M00000X Hospitalist (Licence: MA 264765) | |
| 207R00000X Internal Medicine (Licence: NY 304144) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-03-05 |