| NPI | 1780815308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 65997) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 20655) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 80736) | |
| 208M00000X Hospitalist (Licence: SD 8441) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2023-03-07 |