| NPI | 1780172692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A194155) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2026-02561) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2026-02561) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-06-10 |