| NPI | 1790199362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.172791) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01096906A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 65373) | |
| 208M00000X Hospitalist (Licence: MO 2016009663) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2025-08-12 |