| NPI | 1992921480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 34563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00062) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25ma08759700) | |
| 208M00000X Hospitalist (Licence: RI MD12686) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-08-22 |