| NPI | 1245663574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 310288) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 59961) |
| 208M00000X Hospitalist (Licence: MN 59961) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R74175) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2021-11-12 |