| NPI | 1114314762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 77287) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 77287) |
| 207R00000X Internal Medicine (Licence: GA 77287) | |
| 208M00000X Hospitalist (Licence: GA 77287) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-05-08 |