| NPI | 1881844454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053364) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 208M00000X Hospitalist (Licence: CT 53364) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2015-03-17 |