| NPI | 1144636879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 56333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03124) |
| 208M00000X Hospitalist (Licence: CT 56333) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-08-04 |