| NPI | 1316246598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D78055) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D78055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2024-04-29 |