| NPI | 1902211659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0017569-COMP) |
| 208M00000X Hospitalist (Licence: NH 18195) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2024-04-19 |