NPI | 1639699242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 54127) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 54127) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2025-06-09 |