| NPI | 1952656498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 287596) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-9875) |
| 208M00000X Hospitalist (Licence: RI MD16707) | |
| 208M00000X Hospitalist (Licence: CT 60363) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2021-08-04 |