| NPI | 1407421118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX W7034) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036167666) |
| 207R00000X Internal Medicine (Licence: IL 036167666) | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-06-19 |