| NPI | 1083900559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 62478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62478-20) |
| 208M00000X Hospitalist (Licence: WI 62478) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-09-22 |