| NPI | 1104072370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 52136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52136) |
| 208M00000X Hospitalist (Licence: MA 236674) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-07-16 |