| NPI | 1588050033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 66208) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S1392) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2022-07-25 |