NPI | 1396886800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-12799) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-12799) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00032442) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-11459) | |
208M00000X Hospitalist (Licence: ID M-12799) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2022-01-13 |