| NPI | 1437504131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 13896685-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83491) |
| 208M00000X Hospitalist (Licence: GA 83491) | |
| 208M00000X Hospitalist (Licence: GA 93491) | |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2024-04-09 |