| NPI | 1194254334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73651) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 73651-20) |
| 208M00000X Hospitalist (Licence: IL 036-152504) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2026-07-21 |