| NPI | 1356873319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 66914) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 305546) |
| 208M00000X Hospitalist (Licence: CT 66914) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-12-15 |