| NPI | 1831395441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME120229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109811) |
| 208M00000X Hospitalist (Licence: CA A109811) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-11-28 |