| NPI | 1316280639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457759) |
| 208M00000X Hospitalist (Licence: PA MD457759) | |
| 208M00000X Hospitalist (Licence: RI MD16659) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2020-02-03 |