| NPI | 1760681639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 295354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 48493) |
| 208M00000X Hospitalist (Licence: MA 295354) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-01-25 |