| NPI | 1467864827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL ME133255) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 34989) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-02-01 |