| NPI | 1902226343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 65817) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 65817) |
| 208M00000X Hospitalist (Licence: CA A139502) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-09-20 |