| NPI | 1962552745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 11077) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 11077) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2015-07-14 |