NPI | 1316146236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.125165) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083175) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 42578) | |
208M00000X Hospitalist (Licence: AZ 37199) | |
208M00000X Hospitalist (Licence: KY 42578) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2020-12-07 |