| NPI | 1457512063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301099970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069670) |
| 208M00000X Hospitalist (Licence: IN 01069670) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-07-06 |