| NPI | 1104836113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 49538) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 49538) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-03-07 |