| NPI | 1467740894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01079973A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134453) |
| 208M00000X Hospitalist (Licence: IL 036134453) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2018-08-08 |