| NPI | 1083056113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15257) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD15257) |
| 207R00000X Internal Medicine (Licence: MI 4301103287) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2016-08-17 |