| NPI | 1801924170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD06442) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD06442) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-06-02 |