| NPI | 1730740473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 345074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476701) |
| 208M00000X Hospitalist (Licence: NJ 25MA11890600) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2026-07-21 |