| NPI | 1306137435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 65199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258256) |
| 208M00000X Hospitalist (Licence: MA 258256) | |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2020-06-18 |