NPI | 1790078764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 47174) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 47174) |
208M00000X Hospitalist (Licence: KY 47174) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2020-12-07 |