| NPI | 1053707570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2019014138) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R5011) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-06-30 |