| NPI | 1407817109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01042570A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01042570A) |
| 208M00000X Hospitalist (Licence: IN 01042570A) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-11-16 |