| NPI | 1689646234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M8751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042512) |
| 208M00000X Hospitalist (Licence: CT 042512) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-09-22 |