| NPI | 1376626085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WY 11105A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058582) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 21685) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD449176) | |
| 208M00000X Hospitalist (Licence: MA 243842) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-01-07 |