| NPI | 1497166110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 70663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 18011) |
| 207R00000X Internal Medicine (Licence: CT 070663) | |
| 208M00000X Hospitalist (Licence: NH 18011) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2025-01-08 |