| NPI | 1225659170 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 13891964-1205) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61283933) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61283933) | |
| 208M00000X Hospitalist (Licence: WA MD61283933) | |
| Enumeration Date | 2020-05-01 | 
| Last Update Date | 2024-03-29 |