| NPI | 1770897837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 253456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253456) |
| 208M00000X Hospitalist (Licence: MA 253456) | |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2018-08-30 |