| NPI | 1942684840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T0567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151551) |
| 208M00000X Hospitalist (Licence: CA A151551) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-09-29 |