| NPI | 1073681938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 239929) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 271905) |
| 208M00000X Hospitalist (Licence: ME 1909) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-10-30 |