| NPI | 1962856773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 46216) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036174811) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2446) | |
| 208M00000X Hospitalist (Licence: MO 2019037046) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036174811) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2026-05-29 |