| NPI | 1881783074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME 111193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-13993) |
| 208M00000X Hospitalist (Licence: HI MD-13993) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-03-21 |