NPI | 1215425897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 80090) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 305534) |
Enumeration Date | 2018-04-28 |
Last Update Date | 2025-04-16 |