| NPI | 1629414651 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01066633A)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01066633A)  | 
| Enumeration Date | 2013-05-16 | 
| Last Update Date | 2022-02-01 |