| NPI | 1629466610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX U0944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-12130) |
| 208M00000X Hospitalist (Licence: AR E-12130) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09657900) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2023-08-07 |