| NPI | 1215294749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101280647) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2024-00383) |
| 208M00000X Hospitalist (Licence: NC 2024-00383) | |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2024-06-23 |