| NPI | 1790163962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101028038) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021621) |
| 207R00000X Internal Medicine (Licence: MI 5101021621) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151009894) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 5101028038) | |
| 208M00000X Hospitalist (Licence: NY 293779) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2025-10-25 |