| NPI | 1689839631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60714513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54078-20) |
| 208M00000X Hospitalist (Licence: WI 54078-20) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2020-12-09 |