| NPI | 1942646377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME128874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-01740) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2020-01740) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2020-01740) | |
| 208M00000X Hospitalist (Licence: NC 2020-01740) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2025-06-06 |