| NPI | 1609398957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A177225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177225) |
| 208M00000X Hospitalist (Licence: CA A177225) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-07-08 |