| NPI | 1942656087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 57248) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35135673) |
| 208M00000X Hospitalist (Licence: NH 21742) | |
| 207R00000X Internal Medicine (Licence: OH 35135673) | |
| 207R00000X Internal Medicine (Licence: MI 4301109482) | |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2026-08-10 |