| NPI | 1104294685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036157555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10334900) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 073680) | |
| 207R00000X Internal Medicine (Licence: NY 314201) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 73680) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 73680) | |
| 208M00000X Hospitalist (Licence: NY 314201) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2025-09-17 |