| NPI | 1902953896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 42193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 42193) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 42193) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-06-18 |