| NPI | 1013278902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16852) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 264883) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 252213) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-06-24 |