NPI | 1649634957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A154918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154918) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A154918) | |
208M00000X Hospitalist (Licence: CA A154918) | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-01-02 |