| NPI | 1801073572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 258625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046715) |
| 208M00000X Hospitalist (Licence: CT 046715) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2020-10-01 |