| NPI | 1467490128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD11573) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD11573) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-04-22 |