| NPI | 1932187606 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 25972) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 25972) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2022-03-15 |