| NPI | 1003203555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101267125) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101267125) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-01-16 |