| NPI | 1508021700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 71094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443766) |
| 207R00000X Internal Medicine (Licence: MS 22811) | |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology (Licence: WI 71094) | |
| 208M00000X Hospitalist (Licence: LA MD.207323) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-11-23 |