| NPI | 1881048635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 62862) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 62862) |
| 207R00000X Internal Medicine (Licence: MN 62862) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-02-15 |