| NPI | 1649408220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0017644-COMP) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 35042) |
| 207R00000X Internal Medicine (Licence: SC 35042) | |
| 207R00000X Internal Medicine (Licence: GA 003720) | |
| 208M00000X Hospitalist (Licence: VT 042.0017644-COMP) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2025-12-10 |