| NPI | 1871809020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 266845) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 292981) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 292981) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-03-26 |