| NPI | 1366722191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD473091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6616) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD473091) | |
| 208M00000X Hospitalist (Licence: IA MD-42601) | |
| 207R00000X Internal Medicine (Licence: IA 42601) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2025-08-10 |