| NPI | 1649628306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101274803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101274803) |
| 208M00000X Hospitalist (Licence: IL 036.149207) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-10-28 |