| NPI | 1942401146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 57267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 48937) |
| 208M00000X Hospitalist (Licence: CO 48937) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-07-20 |