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 |