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 |