| NPI | 1780961763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036163667) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 306559) |
| 208M00000X Hospitalist (Licence: ME MD20411) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2024-02-16 |