| NPI | 1316399231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 83041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03817) |
| 208M00000X Hospitalist (Licence: GA 83041) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2021-07-12 |