| NPI | 1164696779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020028559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 42050) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 42050) | |
| 208M00000X Hospitalist (Licence: AZ 42050) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 42050) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-09-10 |