| NPI | 1508111634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX V8123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207938) |
| 208M00000X Hospitalist (Licence: MI Md.207938) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2025-07-29 |