| NPI | 1942429816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 47207) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2006-00454) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-07-10 |