| NPI | 1780632380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME140805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140805) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME140805) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 42984) | |
| 208M00000X Hospitalist (Licence: MA 230336) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116023378) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-01-26 |