| NPI | 1720432693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A187118) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.139685) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A187118) | |
| 208M00000X Hospitalist (Licence: CT 63701) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-08-30 |