| NPI | 1285073601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 62661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285586) |
| 207R00000X Internal Medicine (Licence: CT 62661) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-07-01 |