| NPI | 1124469317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 33846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075855) |
| 207R00000X Internal Medicine (Licence: IA MD-45970) | |
| 208M00000X Hospitalist (Licence: GA 075855) | |
| 208M00000X Hospitalist (Licence: IA MD-45970) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-11-15 |