| NPI | 1871908731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: RI MD15641) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1012987) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-01-22 |