| NPI | 1902066798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 32608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 32608) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 91233) | |
| 208M00000X Hospitalist (Licence: IL 036127312) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2023-10-23 |