NPI | 1730740838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301513461) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2022027873) |
207R00000X Internal Medicine (Licence: RI LP04758) | |
Enumeration Date | 2019-06-28 |
Last Update Date | 2025-09-19 |