| NPI | 1538378070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 75038)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD13566)  | 
| 208M00000X Hospitalist (Licence: RI MD13566)  | |
| Enumeration Date | 2007-05-22 | 
| Last Update Date | 2019-10-30 |