| NPI | 1982146015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 301072) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 301072) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2024-03-12 |