| 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 |