| NPI | 1609109883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2019009597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 004116) |
| 208M00000X Hospitalist (Licence: NY 004116) | |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2021-09-07 |