| NPI | 1225481443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 1410321131) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 29045) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2024-08-05 |