| NPI | 1790169787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2024033499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066643) |
| 208M00000X Hospitalist (Licence: KS pending) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-09-18 |