| NPI | 1861873879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 65187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017222) |
| 207R00000X Internal Medicine (Licence: NC 201801422) | |
| 208M00000X Hospitalist (Licence: NC 201801422) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-07-13 |