| NPI | 1740283027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0065911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229947) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 229947) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 227473) | |
| 208M00000X Hospitalist (Licence: NY 229947) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-01-29 |