NPI | 1790314086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.165243) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036165243) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-06-13 |