| NPI | 1821252081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 81220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0066145) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 32594) | |
| 208M00000X Hospitalist (Licence: WV TMP-01972) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 253253-1) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-12-19 |