| NPI | 1255726949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A146594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A146594) |
| 208M00000X Hospitalist (Licence: IL 036.147781) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-04-21 |