| NPI | 1255034211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.156712) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.156712) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-07-01 |