| NPI | 1497245047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A164141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A164141) |
| 208M00000X Hospitalist (Licence: CA A164141) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-05-18 |