| NPI | 1538653548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.153365) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11185800) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-09-11 |