| NPI | 1932300571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 33365) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 21119) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: MS 21119) | |
| 207R00000X Internal Medicine (Licence: TN 42681) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.33365) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-02-07 |