| NPI | 1609168475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A168212) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60462419) |
| 208M00000X Hospitalist (Licence: WA MD60462419) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-11-01 |