| NPI | 1376728766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301106060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD436627) |
| 207R00000X Internal Medicine (Licence: AZ 47508) | |
| 208M00000X Hospitalist (Licence: AZ 47508) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2015-08-14 |