| NPI | 1942429725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0103752) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 045306) |
| 208M00000X Hospitalist (Licence: CT 045306) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-03-30 |