| NPI | 1306813423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME117606) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036123912) |
| 208M00000X Hospitalist (Licence: FL ME117606) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-11-07 |