| NPI | 1871908616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101273229) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101273229) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A17966) | |
| 208M00000X Hospitalist (Licence: VA 0101273229) | |
| 207R00000X Internal Medicine (Licence: VA 0101273229) | |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-64148) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-01-28 |