| NPI | 1730740838 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301513461) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2022027873) | 
| 207R00000X Internal Medicine (Licence: RI LP04758) | |
| Enumeration Date | 2019-06-28 | 
| Last Update Date | 2025-09-19 |