| NPI | 1447221866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD11719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD11719) |
| 208M00000X Hospitalist (Licence: RI MD11719) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-03-13 |