| NPI | 1962780197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301507563) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD20187) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.35114) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2024-04-18 |