| NPI | 1528377850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 70173) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 70173) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032501) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-01-26 |