| NPI | 1205227964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.156427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60976402) |
| 208M00000X Hospitalist (Licence: WA MD60976402) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2025-07-25 |