| NPI | 1871931568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 32148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256537) |
| 208M00000X Hospitalist (Licence: LA 303206) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-10-09 |