| NPI | 1366721417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 98943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0437328) |
| 208M00000X Hospitalist (Licence: KS 0437328) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2024-04-08 |