NPI | 1144890104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OT020680) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020680) |
208M00000X Hospitalist (Licence: NJ 25MB12306000) | |
Enumeration Date | 2021-06-30 |
Last Update Date | 2025-07-29 |