NPI | 1427187392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 44170) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.117248) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 44170) | |
208M00000X Hospitalist (Licence: IN 01067782A) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-12-08 |