| NPI | 1891112066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0058508) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0058508) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2025-07-15 |