| NPI | 1821416231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1015151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131604) |
| 208M00000X Hospitalist (Licence: OH 35.131604) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-05-26 |