| NPI | 1093943839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61059450) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.138624) |
| 208M00000X Hospitalist (Licence: PA MD446104) | |
| 207R00000X Internal Medicine (Licence: PA MD446104) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-09-08 |