| NPI | 1184807877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT medical resident) |
| 208M00000X Hospitalist (Licence: VA 0101249825) | |
| 208M00000X Hospitalist (Licence: CT 047768) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-05-06 |