| 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 |