| NPI | 1245501899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A148534) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 250554) |
| 208M00000X Hospitalist (Licence: PA MD455830) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2017-07-06 |