| NPI | 1275513442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD13396) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA md427665) |
| 207R00000X Internal Medicine (Licence: NY 234029) | |
| 207R00000X Internal Medicine (Licence: PA MD427665) | |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2011-01-20 |