| NPI | 1811940174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01081432A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01081432A) |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: 43484) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-12-05 |