| NPI | 1790314086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.165243) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036165243) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-06-13 |