| NPI | 1962650028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS10524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL Applied for) |
| 208M00000X Hospitalist (Licence: FL OS10524) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2021-08-26 |