| NPI | 1871908616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A17966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-64148) |
| 207R00000X Internal Medicine (Licence: VA 0101273229) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101273229) | |
| 208M00000X Hospitalist (Licence: VA 0101273229) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-09-22 |