| NPI | 1710320445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 81806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 76570) |
| 208M00000X Hospitalist (Licence: GA 76570) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-08-10 |