| NPI | 1720266059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A94163) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A94163) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2019-12-17 |