| NPI | 1699186064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 324091) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 56907) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 3902000000X) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2023-07-12 |