| NPI | 1386817468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036168048) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY C0935) |
| 208M00000X Hospitalist (Licence: TN 48945) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2024-04-02 |