| NPI | 1235264169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 8281654-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 8938) |
| 208M00000X Hospitalist (Licence: CA 20A12193) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-11-27 |