| NPI | 1134335607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 17942) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 36839) |
| 207R00000X Internal Medicine (Licence: AZ 36839) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-05-10 |