| NPI | 1902260946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D89936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89936) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D89936) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-12-09 |