| NPI | 1932450897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 32725) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 9541) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2020-12-15 |