| NPI | 1174888945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.152139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152139) |
| 208M00000X Hospitalist (Licence: IL 036.152139) | |
| 208M00000X Hospitalist (Licence: DC MD043489) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-12-20 |