| NPI | 1558656512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0014631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL trn16217) |
| 208M00000X Hospitalist (Licence: NY 283131) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2020-01-23 |