| NPI | 1134431737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 255312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64365) |
| 208M00000X Hospitalist (Licence: MA 255312) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-10-02 |