| NPI | 1952822116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33297) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VT 042.0014871) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-06-19 |