| NPI | 1114536489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-56670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-174989) |
| 208M00000X Hospitalist (Licence: IL 036-174989) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2026-03-09 |