NPI | 1245587765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 49156) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036136326) |
207R00000X Internal Medicine (Licence: NJ 25MA11854300) | |
208M00000X Hospitalist (Licence: GA 74461) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2024-07-24 |