NPI | 1174752554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01084377A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01373) |
207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: AR E-11428) | |
208M00000X Hospitalist (Licence: NC 2012-01373) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2021-03-12 |