| NPI | 1619389368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD204242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201232) |
| 208M00000X Hospitalist (Licence: NC 2017-01347) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2021-08-23 |