| NPI | 1114252475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME136345) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.130384) |
| 207R00000X Internal Medicine (Licence: TX BP10034481) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX BP10059228) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2023-10-30 |