| NPI | 1083666366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME97437) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME97437) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: FL ME97437) | |
| 208M00000X Hospitalist (Licence: IN 01061904A) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-02-12 |