| NPI | 1588070031 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036142953)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.065337)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01085781A)  | |
| 208M00000X Hospitalist (Licence: IL 036.142953)  | |
| Enumeration Date | 2014-07-05 | 
| Last Update Date | 2022-05-25 |