| NPI | 1376582130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0012835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200001374) |
| 208M00000X Hospitalist (Licence: NC 200001374) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-02-19 |