| NPI | 1639526619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03671) |
| 208M00000X Hospitalist (Licence: NH 20473) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-09-01 |