| NPI | 1306963335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301083605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083605) |
| 208M00000X Hospitalist (Licence: MI 4301083605) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-12-01 |