| NPI | 1912404054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D91666) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D91666) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-10-19 |