NPI | 1144454349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P5721) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208M00000X Hospitalist (Licence: VA 0101250596) | |
Enumeration Date | 2009-05-04 |
Last Update Date | 2017-05-09 |