| NPI | 1073671442 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 149797-1205)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 149797-8905)  | 
| 208M00000X Hospitalist (Licence: UT 149797-1205)  | |
| Enumeration Date | 2006-12-05 | 
| Last Update Date | 2017-11-20 |