| NPI | 1447505169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 61605) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-9278) |
| 207R00000X Internal Medicine (Licence: IL 125.060797) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-09-27 |