| NPI | 1881009348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.160040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.160040) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.160040) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-02-11 |