| NPI | 1730262882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.138845) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N9578) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 046980) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.138845) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX N9578) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME115431) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 33301) | |
| 208M00000X Hospitalist (Licence: FL ME115431) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-01-04 |