| NPI | 1225322654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 20993) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 20993) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-01-07 |