| NPI | 1174558720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2015016320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 43783) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-01-21 |