| NPI | 1114989134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME68413) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME68413) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-5202) | |
| 208M00000X Hospitalist (Licence: FL ME68413) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-10-10 |