| NPI | 1336437359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 35970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060477) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 23205) | |
| 208M00000X Hospitalist (Licence: MS 23205) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-11-06 |