| NPI | 1992064950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A13354) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A13354) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CA 20A-13354) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-11-09 |