| NPI | 1053462200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 33409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0011821) |
| 208M00000X Hospitalist (Licence: NY 261674) | |
| 207R00000X Internal Medicine (Licence: NY 261674) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-12-11 |