| NPI | 1477948610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301511216) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD462052) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2024-08-22 |