| NPI | 1679969315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 62486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2295751) |
| 207R00000X Internal Medicine (Licence: CT 62486) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-04-18 |