| NPI | 1891112066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 0058508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0058508) |
| 208M00000X Hospitalist (Licence: CO 0058508) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-05-23 |