| NPI | 1730331364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 48140) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48140) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 48140) | |
| 208M00000X Hospitalist (Licence: AZ 48140) | |
| Enumeration Date | 2008-10-14 | 
| Last Update Date | 2022-04-24 |