| NPI | 1417343872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX R6314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201900767) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX R6314) | |
| 208M00000X Hospitalist (Licence: TX R6314) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-01-06 |