| NPI | 1790205474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 337645) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 337645) |
| 207R00000X Internal Medicine (Licence: PR 35367-R) | |
| 207R00000X Internal Medicine (Licence: LA 337645) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-09-08 |