| NPI | 1215256920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 117725) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME 117725) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2021-08-27 |