| NPI | 1336458561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301114502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 004719) |
| 207R00000X Internal Medicine (Licence: MI 4301114502) | |
| 208M00000X Hospitalist (Licence: GA 067749) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-02-10 |