| NPI | 1275950321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S5747) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10199700) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-09-09 |