| NPI | 1578986212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2025006675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-8803) |
| 208M00000X Hospitalist (Licence: MO 2025006675) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2025-03-07 |