| NPI | 1013536143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 3015881) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 314155) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 314155) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-05-13 |