| NPI | 1952830085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023033163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023033163) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2023033163) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-10-28 |