| NPI | 1578553830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10728) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD10728) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD10728) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2011-03-16 |