| NPI | 1659544252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.127618) |
| 208M00000X Hospitalist (Licence: IL 036127618) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2021-11-22 |