| NPI | 1174027809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 20911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0018762) |
| 207R00000X Internal Medicine (Licence: MA 20911) | |
| 208M00000X Hospitalist (Licence: NH 20911) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-08-11 |