| NPI | 1366825630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 45799) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294642) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2024-06-25 |