| NPI | 1629488473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD463765) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 60117) |
| 207R00000X Internal Medicine (Licence: PA MD463765) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2021-10-07 |