| 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 |