| NPI | 1184952913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.130406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194629) |
| 208M00000X Hospitalist (Licence: WI 57013-20) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2020-06-19 |