| NPI | 1417396094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01084306A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-063593) |
| 208M00000X Hospitalist (Licence: IL 036.139962) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-08-26 |