| NPI | 1831506716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73014) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 14484) |
| 208M00000X Hospitalist (Licence: MA 282883) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 71637) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2023-09-22 |