| NPI | 1689972168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34.012654) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 34.012654) |
| 207R00000X Internal Medicine (Licence: IN 02004385A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101022957) | |
| 208M00000X Hospitalist (Licence: IN 02004385A) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2025-10-06 |