| NPI | 1730314261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 17433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 0420012514) |
| 208M00000X Hospitalist (Licence: VT 0420012514) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-07-22 |