| NPI | 1871298869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0040479) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VT 042.0040479) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-07-21 |