| NPI | 1740492214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C169074) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 24179) |
| 207R00000X Internal Medicine (Licence: WV 24179) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-06-25 |