| NPI | 1467573659 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2022-01010)  | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2008021953)  | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ME MD21380)  | |
| 208M00000X Hospitalist (Licence: MO 200802953)  | |
| Enumeration Date | 2007-04-03 | 
| Last Update Date | 2024-10-30 |