| NPI | 1750357596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00542) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 040038) |
| 207R00000X Internal Medicine (Licence: CT 040038) | |
| 208M00000X Hospitalist (Licence: RI DO00542) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-09-19 |