| NPI | 1497252324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164603) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A164603) | 
| 207R00000X Internal Medicine (Licence: CA 164603) | |
| 208M00000X Hospitalist (Licence: CA A164603) | |
| Enumeration Date | 2018-04-08 | 
| Last Update Date | 2024-07-07 |