| NPI | 1235472655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 75903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075903) |
| 207R00000X Internal Medicine (Licence: MA 272987) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD465540) | |
| 208M00000X Hospitalist (Licence: GA 75903) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-08-27 |