| NPI | 1487866331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101241216) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101241216) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-09-19 |