| NPI | 1952386393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37385) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 37385) |
| 208M00000X Hospitalist (Licence: TN 37385) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-10-17 |