| NPI | 1144649617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX T1558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259832) |
| 208M00000X Hospitalist (Licence: VA 0101259832) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-07-02 |