| NPI | 1922356344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 314393-01) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 9372776-1205) |
| 207R00000X Internal Medicine (Licence: UT 9372776-1205) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 278688) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 322489) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-08-04 |