| NPI | 1184076853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT222264) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 63662) |
| 208M00000X Hospitalist (Licence: MN 67614) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-04-08 |