| NPI | 1942484852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A130908) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.203210) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2017-03-01 |