| 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 |