| NPI | 1376983817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 007973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-04744) |
| 208M00000X Hospitalist (Licence: IA DO-04744) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-11-21 |