| NPI | 1578628368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 48876) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 48876) |
| 208M00000X Hospitalist (Licence: MA 48876) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2017-09-06 |