| NPI | 1477181832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82171) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 82171-20) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-08-14 |