| NPI | 1457394868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 33068) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 33068) |
| 208M00000X Hospitalist (Licence: TN 38964) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-12-29 |