| NPI | 1265744908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD456972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196486) |
| 208M00000X Hospitalist (Licence: PA MD456972) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD456972) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2017-06-01 |