| NPI | 1366722191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD473091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 42601) |
| 207R00000X Internal Medicine (Licence: NE 6616) | |
| 208M00000X Hospitalist (Licence: IA MD-42601) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2024-03-26 |