| NPI | 1740844109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-03026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 313362) |
| 208M00000X Hospitalist (Licence: NY 313362) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2025-03026) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-10-03 |