| NPI | 1134362718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 074285) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 074285) |
| 208M00000X Hospitalist (Licence: KY 56424) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-03-13 |