Max Lataillade, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Greenwich, CT

NPI

1245346824

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

042704 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-23

Last updated

2007-07-08