| NPI | 1689258469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 77211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME176024) |
| 208M00000X Hospitalist (Licence: FL ME176024) | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2025-08-12 |