| NPI | 1760620975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: RI MD13372) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 245843) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2025-01-22 |