| NPI | 1497252324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A164603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 164603) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A164603) | |
| 208M00000X Hospitalist (Licence: CA A164603) | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2023-05-24 |