| NPI | 1861606170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 245409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270539) |
| 207R00000X Internal Medicine (Licence: CT 044839) | |
| 208M00000X Hospitalist (Licence: NY 270539) | |
| 208M00000X Hospitalist (Licence: CT 044839) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-05-09 |