| NPI | 1033640115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 84895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142594) |
| 207R00000X Internal Medicine (Licence: GA 84859) | |
| 208M00000X Hospitalist (Licence: GA 84895) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-07-24 |