| NPI | 1285257600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101283785) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101283785) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2026-06-23 |