| NPI | 1285016956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 67599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136997) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 67599) | |
| 207U00000X Nuclear Medicine (Licence: AZ 67599) | |
| 208M00000X Hospitalist (Licence: FL ME136997) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-02-19 |