| NPI | 1740770957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI LP05841) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 286031) |
| 207R00000X Internal Medicine (Licence: MA 286031) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-03-12 |