| NPI | 1619228699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 301693) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD18097) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 301693) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2026-01-13 |