| NPI | 1881995983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q3220) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 49470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2015-07-16 |