| NPI | 1487649521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 166698) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 2774291-1205) |
| 208M00000X Hospitalist (Licence: UT 2774291-1205) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2021-02-26 |