| NPI | 1396267688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME181607) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 305357) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2026-08-26 |