| NPI | 1295990570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 62745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104720) |
| 208M00000X Hospitalist (Licence: AZ 62745) | |
| 208M00000X Hospitalist (Licence: MD D76664) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-02-15 |