NPI | 1336364264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 35015) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01064810A) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 35015) | |
208M00000X Hospitalist (Licence: IN 01064810A) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01064810A) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2023-05-17 |