| NPI | 1043470735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A124616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13556) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 55470) | |
| 208M00000X Hospitalist (Licence: RI MD13556) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-21 |