| NPI | 1073967741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 288135) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 19909) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-10-22 |