| NPI | 1346414752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD191669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 0420012193) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 65190-20) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 65190-20) | |
| 208M00000X Hospitalist (Licence: VT 0420012193) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-05-19 |