| NPI | 1750585725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD21359) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35089668) |
| 208M00000X Hospitalist (Licence: ME MD21359) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-04-16 |