| NPI | 1962993055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1021098) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 076902) |
| 208M00000X Hospitalist (Licence: MA 1021098) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-06-17 |