| NPI | 1629539259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 333148) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS19608) |
| 208M00000X Hospitalist (Licence: FL OS19608) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-12-03 |