| NPI | 1851677132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: RI MD18390) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 247992) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-06-15 |