| NPI | 1811153489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 247723) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 247723) |
| 208M00000X Hospitalist (Licence: VT 042-0011851) | |
| 207R00000X Internal Medicine (Licence: MA 247723) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-12-31 |