NPI | 1699186064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 324091) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 56907) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 3902000000X) | |
Enumeration Date | 2014-05-19 |
Last Update Date | 2024-10-08 |