| NPI | 1124374186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2023-01104) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q7421) |
| 207R00000X Internal Medicine (Licence: TX Q7421) | |
| 208M00000X Hospitalist (Licence: TX Q7421) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-09-10 |