| NPI | 1396206397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A24105) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 18980) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2026-07-14 |