| NPI | 1174662308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30512) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2007-01011) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-10-26 |