| NPI | 1487819520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 80052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.125455) |
| 207R00000X Internal Medicine (Licence: IA MD-42180) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 80052) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2024-07-02 |