| NPI | 1649405812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 266791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093728) |
| 208M00000X Hospitalist (Licence: MA 266791) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301093728) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2020-09-21 |