| NPI | 1396488698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-56972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.153130) |
| 208M00000X Hospitalist (Licence: OH 35.153130) | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-07-08 |