| NPI | 1134477599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A147096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 052353) |
| 208M00000X Hospitalist (Licence: CT 052353) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2020-07-28 |