| NPI | 1356497176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI DO00631) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 235752) |
| 207R00000X Internal Medicine (Licence: RI do00631) | |
| 208M00000X Hospitalist (Licence: RI do00631) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-08-12 |