| NPI | 1528222312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 63918-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 37942) |
| 207R00000X Internal Medicine (Licence: WI 63918) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2015-12-08 |