| NPI | 1134651334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 85357-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A191418) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-06-30 |