| NPI | 1235494956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP02645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI CLP02645) |
| 208M00000X Hospitalist (Licence: MA 262121) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-04-27 |