| NPI | 1801235965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 283790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02951) |
| 207R00000X Internal Medicine (Licence: NY 283790) | |
| 207R00000X Internal Medicine (Licence: AZ 71935) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-01-02 |