| NPI | 1124282025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 54899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278574) |
| 208M00000X Hospitalist (Licence: CT 54899) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-11-21 |