| NPI | 1881114957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301501868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301501868) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0066468) | |
| 208M00000X Hospitalist (Licence: MI 4301501868) | |
| 208M00000X Hospitalist (Licence: CO DR.0066468) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-08-06 |