| NPI | 1962856773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2446) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2019037046) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-08-08 |