| NPI | 1063829844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 33321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44090) |
| 208M00000X Hospitalist (Licence: IA MD-44090) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-07-07 |