| NPI | 1548365935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 049696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT-1562) |
| 207R00000X Internal Medicine (Licence: VT 042-0011718) | |
| 207R00000X Internal Medicine (Licence: CT 049696) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-01-06 |