| NPI | 1952627622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 47744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125835) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.125835) | |
| 208M00000X Hospitalist (Licence: AZ 47744) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-06-29 |