NPI | 1093133878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 22477) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 297985-1) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2025-08-17 |