| NPI | 1174659668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.206026) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.206026) |
| 208M00000X Hospitalist (Licence: MO 2008026265) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2017-02-03 |