| NPI | 1407217300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V2836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46265) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101274232) | |
| 208M00000X Hospitalist (Licence: IA MD-46265) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2025-08-26 |