| NPI | 1336406958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 77918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A136364) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A136364) | |
| 208M00000X Hospitalist (Licence: CA A136364) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-09-06 |