| NPI | 1821046632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 49828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239585) |
| 208M00000X Hospitalist (Licence: CT 49828) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-06-24 |