| NPI | 1730345794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 245795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 054934) |
| 207Q00000X Family Medicine (Licence: NH 20030) | |
| 208M00000X Hospitalist (Licence: MA 245795) | |
| 208M00000X Hospitalist (Licence: CT 054934) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-05-31 |