| NPI | 1346695624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T7150) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.135447) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TX T7150) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 35068) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2025-07-23 |