| NPI | 1376569202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD11957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043365) |
| 207R00000X Internal Medicine (Licence: WY 5301A) | |
| 208M00000X Hospitalist (Licence: RI MD11957) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-22 |